Provider Demographics
NPI:1295175396
Name:SYNERGY WOMEN'S HEALTH CARE, LLC
Entity type:Organization
Organization Name:SYNERGY WOMEN'S HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIACOMELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-373-8007
Mailing Address - Street 1:2525 NW LOVEJOY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2864
Mailing Address - Country:US
Mailing Address - Phone:971-373-8007
Mailing Address - Fax:
Practice Address - Street 1:2525 NW LOVEJOY ST STE 300
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2864
Practice Address - Country:US
Practice Address - Phone:971-373-8007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty